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Clinical Review Clinician - Appeals
Spectraforce Technologies
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Clinton Township, OH, 43224
... average: Experience with Utilization Review/Management-2 yrs Reviews relevant information within denied authorization/prior authorization case to ensure a complete case summary is provided to the Medical Director for review of the appeal case. ... - Jun 19
Utilization Review Specialist-PRN
Acadia External
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Franklin Township, OH, 43223
... Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified ... Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process ... - Jun 14
Clinical Review Nurse - Prior Authorization
Spectraforce Technologies
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Clinton Township, OH, 43224
... Care manager or clinical nursing experience, Word, Excel, Virtual meeting skills, MS outlook and EMR systems Nice to haves: Prior Authorization Nurse, Medical Review Nurse, Appeals Nurse, Utilization Management or Quality Assurance Nurse experience; ... - Jun 22
Clinical Review Nurse - Prior Authorization
Actalent
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Clinton Township, OH, 43224
... management systems to ensure compliance. Educate providers and internal teams on utilization processes to promote high-quality, cost-effective care. Identify and share opportunities for process improvement in the authorization review workflow. ... - Jun 24
Clinical Authorization Review Nurse (Medicaid Health Systems
Ohio Department of Commerce
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Clinton Township, OH, 43224
What You Will Do At ODM: Working Title: Clinical Authorization Review Nurse Classification : Medicaid Health Systems ... in prior authorization and service authorization oversight and utilization activities Reviewing both physical and behavioral ... - Jun 17
Clinical Authorization Review Nurse (Medicaid Health Systems
ohio.gov
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Franklin County, OH
Schedule: Full-time What You Will Do At ODM: Working Title: Clinical Authorization Review Nurse Classification: Medicaid ... in prior authorization and service authorization oversight and utilization activities Reviewing both physical and behavioral ... - Jun 12
Locum Physician (MD/DO) - Family Practice in Dover, OH
Mediabistro
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Columbus, OH
... Dover, Ohio, 44622 for a locum position with a Monday-Thursday, 8am-5pm schedule. Manage 20-25 patients daily in a primary care clinic setting, including pediatrics and women's health. Provide comprehensive family medicine, chronic disease management ... - Jun 23
Locum Physician (MD/DO) - Family Practice in Dover, OH
LocumJobsOnline
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Columbus, OH, 43201
LocumJobsOnline is working with Weatherby Healthcare to find a qualified Family Practice MD in Dover, Ohio, 44622! About The ... management including diabetes and hypertension Minor emergency care capabilities required Paid malpractice insurance; ... - Jun 11
Locum Physician (MD/DO) - Family Practice in Dover, OH
LocumJobsOnline
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Columbus, OH, 43201
LocumJobsOnline is working with Weatherby Healthcare to find a qualified Family Practice MD in Dover, Ohio, 44622! About The ... management including diabetes and hypertension Minor emergency care capabilities required Paid malpractice insurance; ... - Jun 11
Travel Nurse RN - Stepdown - per week in Dover, OH
Reciprocity Health
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Columbus, OH
TravelNurseSource is seeking a qualified Stepdown RN in Dover, Ohio, 44622, offering $2,146/week. Position involves providing specialized care to patients in a stepdown unit. Requirements include BLS - AHACore, Core Mandatory Part I, II, III, and RN ... - Jun 23